Diagnostics (Basel)

. 2021 Feb 14;11(2):307. doi: 10.3390/diagnostics11020307. https://pubmed.ncbi.nlm.nih.gov/33672980/

Diaphragmatic Hernia after Radiofrequency Ablation

Asahiro Morishita ¹, Joji Tani ¹, Tsutomu Masaki ¹Affiliations expand

• PMID: 33672980
• PMCID: PMC7917594
• DOI: 10.3390/diagnostics11020307

Free PMC articleFull text linksCiteAbstractPubMedPMID

Abstract

Diaphragmatic hernia (DH) is a defect, which can be congenital or can develop later in life. Moreover, chromosomal and genetic abnormalities, environmental exposures, and nutritional deficiencies may be related to the development of congenital DH. In contrast, the risk factors of acquired DH include traumas, such as blunt injuries due to traffic accidents and surgical procedures. We report the case of a 71-year-old man admitted to our gastroenterology department for the treatment of esophageal varices. Four days after the endoscopic treatment, the patient vomited severely and reported severe right upper abdominal pain. He was diagnosed with DH, and surgical fixation was performed. The diaphragmatic injury lesion was located on the estimated needle track of percutaneous radiofrequency ablation, which was performed through the thoracic diaphragm with artificial pleural effusion for hepatocellular carcinoma.

Keywords: diaphragmatic hernia; endoscopic procedure; radiofrequency ablation.